RELEASE: Express Scripts reduces employers’ annual prescription drug spending growth rate to historic low in 2017

ST. LOUIS /PRNewswire/ — At a time when consumers, businesses and policymakers are intensely focused on reducing prescription drug costs, Express Scripts (NASDAQ: ESRX) helped employers reduce the rate of growth in per-person prescription drug spending to 1.5 percent in 2017, according to the 2017 Express Scripts Drug Trend Report released today.  While this growth rate is the lowest Express Scripts has measured since 1993, there is more to be done to make prescription medications more affordable for working families, seniors and the disabled.

Express Scripts, St. Louis, Missouri. (PRNewsfoto/Express Scripts)

“Express Scripts is committed to delivering innovative solutions that help our clients actively manage their pharmacy benefit to drive better outcomes and lower costs,” said Express Scripts President & CEO Tim Wentworth. “While others offer vague promises of future savings, programs such as our SafeguardRx® solutions delivered greater value for the money our clients and members spent on medications for costly conditions, such as diabetes and cancer. However, rising healthcare costs still burden too many consumers and businesses. Express Scripts pledges to continue working with policymakers on both sides of the aisle to advance a prescription drug affordability agenda that enhances our ability to reduce costs while improving access and quality.”

For plans covering employees and their families, per-person spending on prescription drugs rose 1.5 percent in 2017, less than half of the increase reported in 2016, and the lowest since we first began tracking drug spending data in 1993. Nearly half of all Express Scripts’ commercial clients saw their drug spending decrease in 2017. Plans that adopted a broader variety of SafeGuardRx, specialty and other core PBM solutions saw their year-over-year drug spending decrease an average of 1.2 percent.

Additional key findings include:

  • The share of cost per prescription paid by members in an employer-funded plan held steady, with members paying 14.3 percent of their total prescriptions costs, the same as in 2016. The average member out-of-pocket cost — which includes deductible and copay — for a 30-day prescription was $11.24, a 12-cent increase from 2016.
  • Spending on traditional drugs for common diseases such as diabetes and hypertension, which accounted for 59 percent of total spending, decreased about 4 percent, due primarily to a drop in unit costs of 4.9 percent, reflecting our ability to mitigate manufacturer price increases and help patients and their physicians choose effective, lower cost alternatives. Generic fill rates increased to 86 percent in 2017.
  • Year-over-year spending on specialty drugs increased 11 percent in 2017 due to increases in utilization (8 percent) and unit costs (3 percent). The increase in specialty-drug spending was mitigated significantly by our ability to get money back for treatment failures involving these complex, high-cost therapies, as we did in our Oncology and Inflammatory Conditions Care Value Programs®. This approach will be increasingly more important now that specialty medications account for nearly 41 percent of total drug spending.
  • Medicare and Medicaid plans managed by Express Scripts also saw lower growth rates in year-over-year spending, with increases of 2.3 percent and 3.7 percent, respectively.
  • Drug spending among Health Insurance Exchange plans managed by Express Scripts decreased 3.3 percent in 2017, due to a 4.2 percent reduction in unit costs and a less than 1 percent increase in utilization.

“Our people and our solutions delivered record-low increases in spending, but our work is far from done,” said Mr. Wentworth. “We know many still struggle to afford their medications, and we will continue to innovate – and advocate – for those people who are challenged by their out-of-pocket costs.”

In a companion report that reviews drug spending trends and public policy, Express Scripts also called on all stakeholders to act on a prescription drug affordability agenda.  Common-sense policy changes include tackling the nation’s opioid addiction crisis; creating new safe harbors to encourage value-based reimbursement; and greater regulatory scrutiny of pay-for-delay settlements between biologic and biosimilar manufacturers.  This agenda builds on our detailed policy proposals from last year and which still resonate with consumers and businesses.

About the 2017 Express Scripts Drug Trend Report
Express Scripts’ annual Drug Trend Report is among the industry’s most comprehensive analyses of drug spending in the U.S.  The research examined the de-identified prescription drug use data of approximately 34.3 million people with a pharmacy benefit plan administered by Express Scripts, including those in an employer-funded, Medicare, Medicaid or Health Insurance Exchange plan.

To access the report, please visit http://lab.express-scripts.com/lab/drug-trend-report.

About Express Scripts
Express Scripts puts medicine within reach of tens of millions of people by aligning with plan sponsors, taking bold action and delivering patient-centered care to make better health more affordable and accessible.

Headquartered in St. Louis, Express Scripts provides integrated pharmacy benefit management services, including network-pharmacy claims processing home delivery pharmacy care, specialty pharmacy care, specialty benefit management, benefit-design consultation, drug utilization review, formulary management, and medical and drug data analysis services.  Express Scripts also distributes a full range of biopharmaceutical products and provides extensive cost-management and patient-care services

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    In December of 2017, Donald Trump made history by recognizing Jerusalem as the capital of Israel. Why is this big news? Because by this the Jewish people of Israel are now able to press forward in bringing about the Third Temple prophesied in the Bible.

    Jewish Rabbis have publicly announced that their Messiah will be revealed in the coming years who will be a leader and spiritual guide to all nations, gathering all religions under the worship of one God.

    Biblical prophecy tells us that this Jewish Messiah who will take the stage will be the antichrist “who opposes and exalts himself above all that is called God or that is worshiped, so that he sits as God in the temple of God, showing himself that he is God” (2 Thessalonians 2:4). For a time he will bring about a false peace, but “Therefore when you see the ‘abomination of desolation,’ spoken of by Daniel the prophet, standing in the holy place (Matthew 24:15)…then there will be great tribulation, such as has not been since the beginning of the world until this time, no, nor ever shall be” (Matthew 24:21).

    More importantly, the power that runs the world wants to put a RFID microchip in our body making us total slaves to them. This chip matches perfectly with the Mark of the Beast in the Bible, more specifically in Revelation 13:16-18:

    “He causes all, both small and great, rich and poor, free and slave, to receive a mark on their right hand or on their foreheads, and that no one may buy or sell except one who has the mark or the name of the beast, or the number of his name.

    Here is wisdom. Let him who has understanding calculate the number of the beast, for it is the number of a man: His number is 666.”

    Referring to the last days, this could only be speaking of a cashless society, which we have yet to see, but are heading towards. Otherwise, we could still buy or sell without the mark amongst others if physical money was still currency. This Mark couldn’t be spiritual because the word references two different physical locations. If it was spiritual it would just say in the forehead. RFID microchip implant technology will be the future of a one world cashless society containing digital currency. It will be implanted in the right-hand or the forehead, and we cannot buy or sell without it. Revelation 13:11-18 tells us that a false prophet will arise on the world scene doing miracles before men, deceiving them to receive this Mark. Do not be deceived! We must grow strong in Jesus. AT ALL COSTS, DO NOT TAKE IT!

    “Then a third angel followed them, saying with a loud voice, “If anyone worships the beast and his image, and receives his mark on his forehead or on his hand, he himself shall also drink of the wine of the wrath of God, which is poured out full strength into the cup of His indignation. He shall be tormented with fire and brimstone in the presence of the holy angels and in the presence of the Lamb. And the smoke of their torment ascends forever and ever; and they have no rest day or night, who worship the beast and his image, and whoever receives the mark of his name” (Revelation 14:9-11).

    People have been saying the end is coming for many years, but we needed two key things. One, the Third Temple, and two, the technology for a cashless society to fulfill the prophecy of the Mark of the Beast.

    Visit http://WWW.BIBLEFREEDOM.COM to see proof for these things and why the Bible truly is the word of God!

    If you haven’t already, it is time to seek God with all your heart. Jesus loves you more than you could imagine. He wants to have a relationship with you and redeem you from your sins. Turn to Him and repent while there is still hope! This is forever…God bless!

    “EITHER HUMAN INTELLIGENCE ULTIMATELY OWES ITS ORIGIN TO MINDLESS MATTER OR THERE IS A CREATOR…” – JOHN LENNOX

    We all know God exists. Why? Because without Him, we couldn’t prove anything at all. Do we live our lives as if we cannot know anything? No. So why is God necessary? In order to know anything for certain, you would have to know everything, or have revelation from somebody who does. Who is capable of knowing everything? God. So to know anything, you would have to be God, or know God.

    A worldview without God cannot account for the uniformity and intelligibility of nature. And why is it that we can even reason that God is the best explanation for this if there is no God? We are given reason to know or reject God, but never to know that He does not exist.

    It has been calculated by Roger Penrose that the odds of the initial conditions for the big bang to produce the universe that we see to be a number so big, that we could put a zero on every particle in the universe, and even that would not be enough to use every zero. What are the odds that God created the universe? Odds are no such thing. Who of you would gamble your life on one coin flip?

    Is there evidence that the Bible is the truth? Yes. Did you know that the creation accounts listed in the book of Genesis are not only all correct, but are also in the correct chronological order? That the Bible doesn’t say the Earth was formed in six 24-hour days but rather six long but finite periods of time? That the Bible makes 10 times more creation claims than all major “holy” books combined with no contradictions, while these other books have errors in them? The Bible stood alone by concurring with the big bang saying, “In the beginning God created the heaven and the earth” (Genesis 1:1); and says our universe is expanding, thousands of years before scientists discovered these things. Watch a potential life-changing video on the website listed below with Astronomer(PhD) Hugh Ross explaining all these facts based on published scientific data. He has authored many books, backed even by atheist scientists.

    Jesus came to pay a debt that we could not; to be our legal justifier to reconcile us back to a Holy God; only if we are willing to receive Him: “For the wages of sin is death…” (Romans 6:23).

    God so loved the world that He gave us His only begotten son, so that whoever believes in Him, through faith, shall not perish, but have everlasting life. Jesus says if we wish to enter into life to keep the commands! The two greatest commands are to love God with all your heart, soul, strength, and mind; and your neighbor as yourself. All the law hang on these commands. We must be born of and lead by the Holy Spirit, to be called children of God, to inherit the kingdom. If we are willing to humble ourselves in prayer to Jesus, to confess and forsake our sins, He is willing to give the Holy Spirit to those who keep asking of Him; giving us a new heart, leading us into all truth!

    Jesus came to free us from the bondage of sin. The everlasting fire was prepared for the devil and his angels due to disobedience to God’s law. If we do the same, what makes us any different than the devil? Jesus says unless we repent, we shall perish. For sin is the transgression of the law. We must walk in the Spirit so we may not fulfill the lusts of the flesh, being hatred, fornication, drunkenness and the like. Whoever practices such things will not inherit the kingdom (Galatians 5:16-26). If we sin, we may come before Jesus to ask for forgiveness (1 John 2:1-2). Evil thoughts are not sins, but rather temptations. It is not until these thoughts conceive and give birth by our own desires that they become sin (James 1:12-15). When we sin, we become in the likeness of the devil’s image, for he who sins is of the devil (1 John 3:8); but if we obey Jesus, in the image of God. For without holiness, we shall not see the Lord (Hebrews 12:14).

    The oldest religion in the world is holiness through faith (James 1:27). What religion did Adam and Eve follow before the fall? Jesus, Who became the last Adam, what religion does He follow? Is He not holy? He never told us to follow the rituals and traditions of man but to take up our cross and follow Him (Luke 9:23). There are many false doctrines being taught leading people astray. This is why we need the Holy Spirit for discernment. Unlike religion, holiness cannot be created. It is given to us from above by the baptism of the Spirit. Jesus is more than a religion; He is about having a personal relationship with the Father. Start by reading the Gospel of Matthew, to hear the words of God, to know His character and commandments. Follow and obey Jesus, for He is the way, the truth, and the life!

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